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The Health Plan Medicare Part D Prescription Drug Formulary is a listing of prescription medications that are preferred for use. The Health Plan maintains an open formulary with certain restrictions across several therapeutic classes. In these classes, the preferred drugs will be a covered benefit when dispensed at participating pharmacies.
What if my drug is not included in the plan formulary?
If your drug is not included in the plan formulary, you can contact Customer Service to confirm that a drug is not covered and ask how to make an exception and cover your drug. You can also reference the section in the formulary, "What if my drug is not on the formulary?" for the options available to you.
Changes to the formulary
The Health Plan may add or remove drugs from our formulary during the year. To get updated information about the drugs covered by The Health Plan SecureCare (HMO), SecureCare SNP (HMO SNP), SecureCare Capitol Plan (HMO), SecureChoice (PPO) or SecureChoice Capitol Plan (PPO) please refer to this website or contact us at 1.800.592.4465 (TTY/TDD users: 711), 24 hours a day, seven days a week, except Thanksgiving and Christmas.
To access the most current up-to-date, searchable online formulary please click the link below pertaining to your plan. By selecting one of these links, you will leave The Health Plan Medicare Advantage website and access the Express Scripts, Prescription Drug Coverage search page.